Inspection on 05/06/07 for Farnham Common House

This inspection was carried out on 5th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Farnham Common House 03/05/06

Farnham Common House 14/11/05

Farnham Common House 15/06/05

Farnham Common House 23/05/05

Farnham Common House 30/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Farnham Common House Beaconsfield Road Farnham Common Slough Bucks SL2 3HU Lead Inspector Chris Schwarz Unannounced Inspection 09:30 5 & 6th June 2007 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Farnham Common House Address Beaconsfield Road Farnham Common Slough Bucks SL2 3HU 01753 669900 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) manager.farnham@fremantletrust.org The Fremantle Trust Care Home 50 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. From time to time the home may accommodate service users under the age of 65. 3/5/06 Date of last inspection Brief Description of the Service: Farnham Common House opened in May 2004. It is a care home providing personal care and accommodation for 50 older people. The development is the result of a partnership between The Fremantle Trust, London and Quadrant Housing Association and Buckinghamshire County Council. The service is run by The Fremantle Trust. The home is located in Farnham Common, Buckinghamshire, on the A355 road and is conveniently located for buses between Beaconsfield and Slough (hourly service) and about half a mile from shops and other amenities of Farnham Common. The home is divided into four houses - two of ten places and two of fifteen places. One house on the ground floor is dedicated to the care of people with dementia. The home is purpose built and provides a good quality, well equipped and spacious environment for service users. All bedrooms are single and all have en-suite facilities comprising toilet, sink and shower. The home is set in compact and pleasant grounds. There is parking for staff and visitors’ cars. The home’s fees are from £383.88 to £590 per week. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was conducted over the course of two days and covered all of the key National Minimum Standards for older people. Prior to the visit, a detailed questionnaire was sent to the manager for completion alongside comment cards for distribution to service users, relatives and visiting professionals. Twenty replies were received and these have helped to form judgements about the service and quality of care provision. Feedback was generally of a positive nature with a very small number of relatives dissatisfied with some specific issues. The inspection consisted of discussions with a range of people (the manager, external line manager, chef manager, an activities co-ordinator, senior carers, carers, the home’s administrator) and provided opportunities to meet with service users and observe care practice. Some of the home’s required records were examined and a tour of the premises was undertaken. A key theme of the visit was how effectively the service meets needs arising from equality and diversity. Feedback on the inspection findings and areas needing improvement was given to the manager at the end of the inspection. The manager, staff and service users are thanked for their co-operation and hospitality during this unannounced visit. What the service does well: Prospective service users have sufficient information about the service and are given opportunity to visit the home beforehand to ensure it meets their needs. The health and personal care needs of people living at the home are well met, promoting health and well-being and ensuring that they receive medication in a safe and consistent manner. Activities are available to service users to provide them with stimulation and contact with family, friends and the community is supported to maintain social links. Food is well prepared and presented attractively to make sure that nutritional needs are met. Complaints and adult protection are effectively managed to listen to views of people who live at the home and reducing the risk of harm to them. The home is well designed, clean, well decorated and adequately maintained, promoting a positive environment for the people who live there. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 6 The home provides staff cover to meet needs and undertakes thorough recruitment procedures to ensure staff have the right attitudes and competencies to support the people who live there. The management and administration of the home promote continuity and quality of care for the people who live there and ensure that risk is generally safely managed to reduce the likelihood of injury or harm. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is adequate. Prospective service users have sufficient information about the service and are given opportunity to visit the home beforehand to ensure it meets their needs. Assessment of prospective service users has varied in quality, which could mean that important details about care needs and requirements are not fully documented before service users move in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the statement of purpose and service users guide are available by the main entrance and have been updated since the last inspection to reflect new management. Both documents give a good outline of the type of care provided at Farnham Common House and the facilities it has to offer to older people. Other useful information about the organisation and local services is also available in the entrance area. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 9 Pre-admission documents of a sample of permanent and respite care service users were looked at. These varied in detail and had not been consistently signed and dated and in one case the name of the service user was not recorded. It was acknowledged that these assessments had been written prior to the change in management and that new and more effective assessment tools, shown to the inspector, were available to use with future new referrals which would address shortfalls. Concern had been expressed prior to the inspection by some relatives regarding admission to the dementia care unit of a respite care service user with challenging behaviour. The assessment documents provided by the local authority care manager did not indicate that the home admitted someone whose needs it could not meet or that the level of distress could have been anticipated. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The health and personal care needs of people living at the home are well met, promoting health and well-being and ensuring that they receive medication in a safe and consistent manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of care plans was looked at covering service users with a range of needs. In all cases, a photograph of the service user was contained within the file plus basic information such as next of kin, religion and details of doctors. Life stories were also seen, providing important information about the person’s past and current interests. An outline of care needs was given with various assessments in place such as risk of developing pressure damage, falls and fractures, nutritional assessments, moving and handling and outbreak of fire at the home. Information was current with evidence of updating when required and there were copies of review notes involving the Social Services Department where service users were sponsored by the local authority. The only point raised with the manager about care plans was to give consideration Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 11 to writing a separate assessment which stands out from the care plan where a service user has dysphagia, to make sure that the risk is prominent for staff. It was noted that the manager is introducing monthly care plan reviews as part of staff one-to-one supervision sessions to improve practice at the home. Files were easy to use and all documentation had been dated and signed; good regard was being shown for confidentiality with filing cabinets kept locked in each house when care plans were not in use. A register had been set up within the home to log and monitor falls and this was seen to be up-to-date with an assessment form completed in each case. Records of medical visits were noted within care plans and showed involvement with various health care professionals. Daily notes and handover records provided evidence that the home contacts surgeries in a timely manner where there are concerns about health and this was verified during a conversation with a district nurse. Feedback from a doctor was also positive, with indication of satisfaction with how the home responds to health issues and integration of treatments into service users’ care. Medication was securely stored on the premises with records of receipt and disposal in place. The home uses a monitored dose system of medication administration and records of medicines given to service users were being properly maintained. Controlled drugs were stored safely with access restricted to senior staff and a register maintained. Assessments of staff competence to manage medication were seen in the duty office. A prescription tracking system has been introduced. The only minor point raised with the manager is that date of opening should be written on refrigerated eye drops which require disposal after the timescale given by the manufacturer. There was good regard for service users’ privacy and dignity. Good care had been taken of clothing with service users helped to wear clean, co-ordinating items, service users had been supported to look well groomed and staff spoke with service users gently and conveyed respect. There was opportunity to observe staff offering a distressed service user reassurance and comfort which they did well. Two moving and handing manoeuvres were observed to be carried out correctly and safely, with carers making sure that they explained to service users what they were about to do to prevent distress. All personal care tasks were conducted in private. Service users spoke positively of the home and the care given to them. Relatives provided largely positive feedback such as: “Mother’s Alzheimer’s has deteriorated over the last year and they have upped her care to meet her needs. They always seem to have a very good relationship with all the residents and seem to treat them with the right amount of affection (appropriate to them) and respect.” Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 12 “Care varies depending on which staff are on shift but on the whole mum is well cared for.” “Mum’s clothes and room are always very clean – carers are very helpful and friendly and seem to really care for the residents.” “From my observation in relation to my mother the service is first rate.” Another relative considered that one thing the home did well was “the general care of each resident” and added “I am very satisfied with the care my mother gets. I feel a lot better knowing she is in good hands.” There were a small number of occasions reflected in relatives’ comment cards where they were dissatisfied with provision, for example, a service user was found not to have been changed when incontinent, eyes were not being cleaned and appeared sticky or assistance with dressing had not been satisfactory. None of these issues was apparent during the inspection. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Activities are available to service users to provide them with stimulation and contact with family, friends and the community is supported to maintain social links. Food is well prepared and presented attractively to make sure that nutritional needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has two part-time activities organisers and one of these was spoken with as part of the inspection. A range of different activities was currently on offer to service users with a notice posted on each house’s lounge door of what is available and when, such as keep fit, discussion groups, coffee mornings, trivia quizzes, cards, bingo, reminiscence, crafts, Scrabble, church services, cookery and dance therapy. The home has a large community hall which is used for activities and relatives can also make use of it when visiting. The majority of people who completed comment cards expressed positive views about the activities at the home and opportunities to provide service users with stimulation. During the inspection, service users were seen arranging flowers, playing dominoes, having their hair done, listening to music, playing an impromptu game of bowls in the corridor, helping to lay dining Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 14 tables and walking around the grounds. One service user who smokes was helped by staff to an area of the home where smoking is permitted. Newspapers and magazines can be ordered for any service user who wishes. Relatives completing comment cards and service users spoken with during the inspection confirmed that there is flexible visiting at the home and some service users were seen to have telephones installed in their rooms to facilitate easy contact with friends and family. Nutritional needs were being well catered for by the chef manager and her team. A four week menu was in operation with a range of meals and choices available to service users. Feedback on things service users would like added or taken off the menus had been taken into account and a lunch time meal of sausages, gravy, mashed potato, cauliflower and broccoli had been enjoyed by service users. Those who required assistance at meal times were provided with help. Service users were offered drinks and biscuits outside of meal times. A cake and party foods had been provided for a service user whose birthday the home was celebrating. Service users and staff said that meals were consistently of a good standard. The kitchen was well stocked and there was good regard for food hygiene. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Complaints and adult protection are effectively managed to listen to views of people who live at the home and reducing the risk of harm to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who completed comment cards were aware of how to make a complaint and one person said that the procedure had been reinforced during a consultation meeting with families. In preparation for the inspection, the manager recorded receipt of thirteen complaints at the home, nine of which had been upheld. Most complaints appear to have been handled to the satisfaction of the complainants although the Commission is aware that a couple of relatives remain unhappy with how matters have been handled. Procedures are in place for making complaints, Protection of Vulnerable Adults and whistle blowing/public disclosure at work. The Commission is aware of one adult protection matter which was referred to the Social Services Department. An incident of unexplained injury was reported to Social Services but not viewed by them as an adult protection matter. The manager has undertaken a train-the-trainers adult protection course and plans to update staff training in this area by the end of the calendar year. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. The home is well designed, clean, well decorated and adequately maintained, promoting a positive environment for the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and provides accommodation in four house groups for up to fifty older people. One of the houses is dedicated to care of people with dementia. The entrance area is light and welcoming with lots of information available to visitors. Visitors are asked to sign in and out so that a record is kept of who is on the premises. Each house has its own lounge/dining and kitchen area which is nicely decorated and arranged and a comfortable area to sit in. All bedrooms are single occupancy and of good size with en-suite toilet, sink and flat level shower. Communal baths and toilets are located within each house and have Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 17 the necessary aids and adaptations to assist with daily living tasks. Each was stocked with soap, hand towels and toilet roll and had a working door lock. A selection of bedrooms were looked at and found to be personalised with items such as furniture, ornaments and pictures from the service users’ previous residence. Service users who were spoken with said that their rooms were comfortable and liked having their own toilet facilities. Those who wanted to spend time in their rooms were enabled to do so. Lighting was sufficient around the home and windows had been opened in response to warm weather. In some of the upstairs bedrooms it was noticed that bedroom windows opened out fully, beyond safe restriction guidance. Windows at the home have been fitted with a device to restrict opening which staff can override for ventilation. It is recommended that risk assessments be put in place to ensure that windows are not left fully open where they could pose a safety risk to service users. Corridors and door ways were wide enough to accommodate people in wheelchairs and transport of mobile hoists and a call bell system was in place. Cleanliness was well maintained around the home with no odours present and laundry was being dealt with effectively. Sluice areas were tidy and clean with supplies of protective items available to staff. Clinical waste bins were being emptied regularly to prevent odour or spillage onto floor areas. Infection control procedures were in place at the home. Appropriate machinery was in place to meet the demands of a busy care home, such as industrial washing machines, tumble driers and floor cleaners. The chef manager considered the kitchen to have sufficient equipment and layout had been well designed. Air conditioning had been installed to keep working temperature down. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. The home provides staff cover to meet needs and undertakes thorough recruitment procedures to ensure staff have the right attitudes and competencies to support the people who live there. Some updating to training is needed, which is largely planned for the coming year, to make sure that skills are up-to-date and promote best practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A mix of senior carers and carers were on duty at the home to provide personal care to service users. No agency staff were being used to cover the rota. Carers were supported by catering and housekeeping staff plus the home’s administrator; the manager was supernumerary to the care rota. Levels of staff on duty were sufficient to ensure that service users’ needs were being met and the atmosphere in all parts of the home was observed to be calm and relaxed, particularly in the dementia care unit. Interactions between staff and service users were respectful and gentle and appropriate use of humour was employed. Each shift had a duty senior with this person taking lead role in co-ordinating the shift and responding to issues such as contacting surgeries. Handover took place early afternoon to share information to the next shift and to identify any Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 19 specific tasks that needed to be carried out. Handover records were also being maintained. The home was in a good position regarding National Vocational Qualifications. Thirty of thirty seven carers either already had or were undertaking National Vocational Qualification at level 2 or above. The manager was undertaking level 4. A sample of recruitment files was examined and showed that in all cases all necessary checks had been undertaken including Criminal Records Bureau clearance. Terms and conditions and job descriptions had been supplied to staff. A sample of training records was looked at which showed that some updating is needed to mandatory training for some staff. A requirement is made to address this. Posters in the duty office advertised forthcoming courses on dementia care, fire training, moving and handling, infection control and medication practice which some staff had already put their names down for. The manager had undertaken a train the trainers Protection of Vulnerable Adults course and was aiming to cascade this to staff by the end of the calendar year. Comments from those who completed surveys or were spoken with during he inspection included: “On an all round basis they appear to do a superb job. Most helpful, friendly and efficient staff.” “On the whole they do the best they can, sometimes hard with patients who have confusion.” “I do believe most of the carers do their best to make them comfortable and are kind.” “There is a friendly atmosphere amongst staff, residents and visitors and a willingness to try to cater for our concerns. There is no shortage of equipment to help with disability and the majority of staff are very caring.” “I like coming here and staff are good.” Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The management and administration of the home promote continuity and quality of care for the people who live there and ensure that risk is generally safely managed to reduce the likelihood of injury or harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new manager started at the home in April this year. Some service users were involved in the selection process. She has experience of the service user group and had previously managed another of the provider’s homes for older people and completed the Registered Managers Award. An application to become registered manager for Farnham Common House was due to be made. The manager has kept the Commission updated with any complaints and notifications have been made as required. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 21 Various quality assurance systems were in place at Farnham Common House. Monitoring visits had been undertaken regularly by the provider, with reports available of the findings. External auditing had recently taken place of the residents’ savings scheme (report not available); completed feedback questionnaires were seen in respite care files. Consultation meetings had taken place periodically to which relatives and service users had been invited. Action from the last inspection report had been addressed at the home. Service users’ money is managed within a residents’ savings scheme. The home’s administrator maintains manual and electronic records of expenditure and credits and receipts are kept. Access to the system is restricted to authorised persons only. A range of health and safety checks was being carried out at the home. The fire log showed that regular tests and servicing are being carried out and a fire based risk assessment was in place. There had been regular hoist and passenger lift servicing and a current gas safety certificate had been issued. Infection control measures around the premises were being adhered to, accidents were being recorded by staff and a register kept of falls. Observed moving and handling manoeuvres were safely carried out. Correct procedures for food handling and hygiene were being used and storage facilities for food were clean and at safe temperatures. The kitchen was left in immaculate condition after catering staff had left for the day. Some updating of health and safety related mandatory training is needed to fully meet the standard (requirement set under staffing section) and checks are needed of portable electrical appliances to make sure that sufficient fire safety measures are in place. A requirement is made to address this. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 4 4 4 4 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 18(1) Timescale for action Mandatory training, including 01/06/08 adult protection, is to be updated or attended first time where necessary, to ensure that staff have up-to-date skills in caring for service users. A safety check is to be 01/10/07 undertaken of portable electrical appliances, to ensure electrical safety. Requirement 2 OP38 13(4) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP25 Good Practice Recommendations Risk assessments are to be put in place where staff override the window restrictors, to ensure that service users are not placed at risk of harm. Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Farnham Common House DS0000060674.V336853.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!